| NPI | 1164482451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANUEL S DUMLAO President 313-562-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MI 4301047459) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2010-01-26 |